Measurement of trends in incidence of work-related skin and respiratory diseases, UK 1996-2005Citation formats

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Measurement of trends in incidence of work-related skin and respiratory diseases, UK 1996-2005. / McNamee, R.; Carder, M.; Chen, Y.; Agius, R.

In: Occupational and Environmental Medicine, Vol. 65, No. 12, 12.2008, p. 808-814.

Research output: Contribution to journalArticle

Harvard

McNamee, R, Carder, M, Chen, Y & Agius, R 2008, 'Measurement of trends in incidence of work-related skin and respiratory diseases, UK 1996-2005', Occupational and Environmental Medicine, vol. 65, no. 12, pp. 808-814. https://doi.org/10.1136/oem.2007.036731

APA

McNamee, R., Carder, M., Chen, Y., & Agius, R. (2008). Measurement of trends in incidence of work-related skin and respiratory diseases, UK 1996-2005. Occupational and Environmental Medicine, 65(12), 808-814. https://doi.org/10.1136/oem.2007.036731

Vancouver

McNamee R, Carder M, Chen Y, Agius R. Measurement of trends in incidence of work-related skin and respiratory diseases, UK 1996-2005. Occupational and Environmental Medicine. 2008 Dec;65(12):808-814. https://doi.org/10.1136/oem.2007.036731

Author

McNamee, R. ; Carder, M. ; Chen, Y. ; Agius, R. / Measurement of trends in incidence of work-related skin and respiratory diseases, UK 1996-2005. In: Occupational and Environmental Medicine. 2008 ; Vol. 65, No. 12. pp. 808-814.

Bibtex

@article{2e8d3b45bb604d62b1cdc022971caae7,
title = "Measurement of trends in incidence of work-related skin and respiratory diseases, UK 1996-2005",
abstract = "Objectives: The ability to measure temporal trends in disease incidence is important, but valid methods are needed. This study investigates UK trends during 1996-2005 in work-related skin and respiratory diseases including non-malignant pleural disease, asthma, mesothelioma and pneumoconiosis and the potential for bias when using surveillance systems for this purpose. Methods: The volunteer reporters in three surveillance schemes were specialist physicians for skin diseases, specialist physicians for respiratory diseases and occupational physicians, respectively, who provided monthly reports of new cases of disease which they considered work related. Poisson regression models were used to investigate variation by calendar year (trend), season and reporter characteristics. Separately, temporal patterns in the probabilities of non-response and zero reports were investigated. Annual changes in disease incidences were compared between reporter groups. Results: There was little evidence of change in incidences of non-malignant pleural disease, mesothelioma, skin neoplasia and urticaria, but falls were seen for contact dermatitis and pneumoconiosis. Although the directions of change were similar across reporter groups, the magnitude of annual change in incidence was often inconsistent: for occupational asthma, it was -1.9{\%} (95{\%} CI -5.2 to 1.4) and -12.1{\%} (95{\%} CI-19.5 to -4.1) using respiratory and occupational physician reports, respectively. Response rates were high (∼85{\%}), but non-response increased slightly with membership time, as did the probability of a zero return in some groups. Adjustment of results for presumed reporting fatigue led to an upward correction in some calendar trends. Conclusions: As some estimated changes in incidence based on volunteer reporting may be biased by reporting fatigue, apparent downward trends need to be interpreted cautiously. Differences in the population bases of the surveillance schemes and UK health service capacity constraints may also explain the differences in trends found here.",
keywords = "epidemiology: Asthma, epidemiology: Dermatitis, Occupational, epidemiology: Great Britain, Humans, Incidence, epidemiology: Mesothelioma, epidemiology: Occupational Diseases, epidemiology: Pleural Diseases, epidemiology: Pneumoconiosis, epidemiology: Respiration Disorders, epidemiology: Skin Diseases",
author = "R. McNamee and M. Carder and Y. Chen and R. Agius",
year = "2008",
month = "12",
doi = "10.1136/oem.2007.036731",
language = "English",
volume = "65",
pages = "808--814",
journal = "Occup Environ Med",
issn = "1351-0711",
publisher = "B M J Group",
number = "12",

}

RIS

TY - JOUR

T1 - Measurement of trends in incidence of work-related skin and respiratory diseases, UK 1996-2005

AU - McNamee, R.

AU - Carder, M.

AU - Chen, Y.

AU - Agius, R.

PY - 2008/12

Y1 - 2008/12

N2 - Objectives: The ability to measure temporal trends in disease incidence is important, but valid methods are needed. This study investigates UK trends during 1996-2005 in work-related skin and respiratory diseases including non-malignant pleural disease, asthma, mesothelioma and pneumoconiosis and the potential for bias when using surveillance systems for this purpose. Methods: The volunteer reporters in three surveillance schemes were specialist physicians for skin diseases, specialist physicians for respiratory diseases and occupational physicians, respectively, who provided monthly reports of new cases of disease which they considered work related. Poisson regression models were used to investigate variation by calendar year (trend), season and reporter characteristics. Separately, temporal patterns in the probabilities of non-response and zero reports were investigated. Annual changes in disease incidences were compared between reporter groups. Results: There was little evidence of change in incidences of non-malignant pleural disease, mesothelioma, skin neoplasia and urticaria, but falls were seen for contact dermatitis and pneumoconiosis. Although the directions of change were similar across reporter groups, the magnitude of annual change in incidence was often inconsistent: for occupational asthma, it was -1.9% (95% CI -5.2 to 1.4) and -12.1% (95% CI-19.5 to -4.1) using respiratory and occupational physician reports, respectively. Response rates were high (∼85%), but non-response increased slightly with membership time, as did the probability of a zero return in some groups. Adjustment of results for presumed reporting fatigue led to an upward correction in some calendar trends. Conclusions: As some estimated changes in incidence based on volunteer reporting may be biased by reporting fatigue, apparent downward trends need to be interpreted cautiously. Differences in the population bases of the surveillance schemes and UK health service capacity constraints may also explain the differences in trends found here.

AB - Objectives: The ability to measure temporal trends in disease incidence is important, but valid methods are needed. This study investigates UK trends during 1996-2005 in work-related skin and respiratory diseases including non-malignant pleural disease, asthma, mesothelioma and pneumoconiosis and the potential for bias when using surveillance systems for this purpose. Methods: The volunteer reporters in three surveillance schemes were specialist physicians for skin diseases, specialist physicians for respiratory diseases and occupational physicians, respectively, who provided monthly reports of new cases of disease which they considered work related. Poisson regression models were used to investigate variation by calendar year (trend), season and reporter characteristics. Separately, temporal patterns in the probabilities of non-response and zero reports were investigated. Annual changes in disease incidences were compared between reporter groups. Results: There was little evidence of change in incidences of non-malignant pleural disease, mesothelioma, skin neoplasia and urticaria, but falls were seen for contact dermatitis and pneumoconiosis. Although the directions of change were similar across reporter groups, the magnitude of annual change in incidence was often inconsistent: for occupational asthma, it was -1.9% (95% CI -5.2 to 1.4) and -12.1% (95% CI-19.5 to -4.1) using respiratory and occupational physician reports, respectively. Response rates were high (∼85%), but non-response increased slightly with membership time, as did the probability of a zero return in some groups. Adjustment of results for presumed reporting fatigue led to an upward correction in some calendar trends. Conclusions: As some estimated changes in incidence based on volunteer reporting may be biased by reporting fatigue, apparent downward trends need to be interpreted cautiously. Differences in the population bases of the surveillance schemes and UK health service capacity constraints may also explain the differences in trends found here.

KW - epidemiology: Asthma

KW - epidemiology: Dermatitis, Occupational

KW - epidemiology: Great Britain

KW - Humans

KW - Incidence

KW - epidemiology: Mesothelioma

KW - epidemiology: Occupational Diseases

KW - epidemiology: Pleural Diseases

KW - epidemiology: Pneumoconiosis

KW - epidemiology: Respiration Disorders

KW - epidemiology: Skin Diseases

U2 - 10.1136/oem.2007.036731

DO - 10.1136/oem.2007.036731

M3 - Article

VL - 65

SP - 808

EP - 814

JO - Occup Environ Med

T2 - Occup Environ Med

JF - Occup Environ Med

SN - 1351-0711

IS - 12

ER -